Effectiveness of Extended Infection Control Measures on Methicillin-Resistant Staphylococcus aureus Infection Among Orthopaedic Patients

• Published in: Indian journal of orthopaedics Vol. 56; no. 10; pp. 1804 - 1812
• Main Authors: Latha, T., Bhat, Anil K., Hande, H. Manjunatha, Mukhopadhyay, Chiranjay, Devi, Elsa Sanatombi, Nayak, Baby S., George, Anice
• Format: Journal Article
• Language: English
• Published: New Delhi Springer India 01.10.2022
• Subjects: Conservative Orthopedics; Medicine; Medicine & Public Health; Original; Original Article; Orthopedics; Surgical Orthopedics; Wound and injuries; Hand disinfection; Health personnel; Methicillin-resistant; Orthopaedic procedures; Infection control
• ISSN: 0019-5413; 1998-3727
• DOI: 10.1007/s43465-022-00713-5

Purpose The purpose of the study was to find the effectiveness of Extended Infection Control Measures (EICM) in reducing the rate of methicillin-resistant Staphylococcus aureus (MRSA) infection among orthopaedic surgery patients. Methods The study adopted a quasi-experimental design and was conducted in the orthopaedic units of a tertiary care hospital. This study recruited 168 orthopaedic patients and 154 healthcare professionals (HCPs). EICM included hand hygiene, decolonizing the patients and HCPS, staff education, feedback of surveillance data, treatment of high-risk and MRSA-infected patients, having separate equipment for MRSA-infected patients, and appropriate cleaning of patient’s unit. Results The EICM effectively reduced MRSA infection from 21.2 to 6% ( p  < 0.001). It also resulted in improving the knowledge of HCPs in the prevention and management of MRSA infection ( p  < 0.001), and all colonized HCPs were successfully (100%) decolonized. Conclusion EICM is a promising intervention to combat MRSA infection among orthopaedic wards. Hence, it can be executed in orthopaedic wards, thereby improving the treatment quality and reducing the infection-related consequences.